1. Induction presentation 2016
The Pharmacy Vocational Training Scheme Foundation Training :Hospital Practice
Induction presentation
2016
Just to cover some housekeeping before we start….. Fire…. Toilets…. Can we also go round and briefly introduce ourselves just so that we know who everyone is….. ( 5 mins max)

2. What will we cover today?
Over view of Foundation training
What resources are available to help me?
What is the curriculum ?
How should I develop my evidence ?
What is the assessment process?
What is the ePortfolio ?

3. ? Foundation Training Expert Professional Practice
Faculty Membership
CPD revalidation
Populate the GPhC site
Populate the Faculty site
Faculty eligibility after 2 years
…. May be with different pieces of evidence
VT3 Training at regular intervals
Populate the GPhC site
This is how we see things fitting together at the moment. The Faculty is undertaken after 2 years of practice... The EPP e portfolio will form part of the requirement for the Faculty. It will also meet the need for GPhC CPD records. It may be that an individual starts VT3 and at regular intervals transfers selected information into their Faculty e portfolio and the same or other information into their GPhC e portfolio. All 3 should complement each other.
Takes ~2 years to complete

4. What does Foundation Training look like?
Feedback progress
~2 years of training
Supported by Tutor, Locality Tutor/ Educational Supervisor, regional PEC
Competency framework
Resources
ePortfolio
- Portfolio then Final assessment.
4. Assessment
Development of evidence
from workplace
Different learning styles
Flexible
The training, while specialist in nature, is designed to be flexible to allow this to be accommodated within the workplace. Participants will benefit from a structured training programme with support from Educational supervisors. The participants may take up to 18 months to complete this training but this may be completed in a shorter period of time depending on the individual candidate. The module is supported by a competency framework which guides the candidate in the collection of appropriate evidence to demonstrate their competency, and candidates are able to utilise an ePortfolio to both access the resources for the module have a repository for the gathered evidence. Candidates also benefit from a structured assessment process with regular in training reviews where candidates can share experience, assessment of the portfolio of evidence and final assessments to complete the module.

5. What skills and characteristics are required for successful training?
Systematic approach, planning
Development of evidence
Communication skills - written
Reflections from workplace based examples
Identify training needs
Negotiate (rotation, meetings, evidence)
Communication skills - verbal
Feedback
Ability to work as a member of the healthcare team
ePortfolio for evidence
Ability to reflect, receive feedback and learn
Resilient and hard working

6. Support for training Resources
Resources for
Foundation Training
Taste of Leadership
Personal awareness
Teams
Emotional Intelligence
Various documents for supporting training. Resources Booklet- all resources also within information section within eportfolio, the TOL course and now the TOM course all help with achievement of the framework.
Taste of Mgt
QI, appraisal

7. Support for Training
Guidance for timelines for completion of activities
Using 1st Sept as start of training date....

8. The Foundation Training Journey
RESIT IF REQ.
Summative
Face to face Assessment
Online registration
Induction
Formative Assessment by members of healthcare team in the workplace
(Feedback forms)
Appraisal
Appraisal
Appraisal
Summative eportfolio assessment
Sept, Jan, May
6 months
9 months
15 months
PD –
More time in practice
Resubmit if required

9. The Competency Framework
So moving onto seeing how the framework looks… There is a word document available within eportfolio information section to print off…

10. The competency framework on ePortfolio v6 as example
Title and aspect of the Element
Sign off by tutor, can also comment
This is the view of the framework within the eportfolio… Notice the ‘tools’ that there are to help … the ‘I’ button for more information, the sign off facility, the magnifying glass… There is also a ‘pencil’ with which your tutor can provide brief feedback… Only a few lines required to show progress and feedback…

11. What Evidence do I need to develop/ provide feedback for?
Performance indicators
Personal library
References
CPD records
Feedback Forms
Testimonials
Mini – CEX
CbDs
CPD records
Records of Evidence
Logs
Significant Event Analysis
Audit
Appraisals
Meeting forms
There are different types of evidence… some are required for the specific competency… others can be used as you wish… Some HB areas are doing CBDs and mini CEX some are not… there is detail on this within the framework and the Guidance document. So now to look at the detail within the framework…

12. The curriculum A Walk through the Competency Framework
Core Elements
Electives
Professional and Personal Practice
Personal Awareness
Communication
Organisational Skills
Collaborative working
Professional Reasoning & Judgement
Service Development
National Priorities
The Clinical Pharmaceutical Care of Patients (inc medical gases)
Patient assessment
Pharmaceutical care
Seamless care
Provision of healthcare info
Use of evidence base
Critical appraisal
Dispensing of Aseptic Products :Hospital Practice
Medicines Information : Hospital Practice
Ensuring the Quality and Safety of Patients
Clinical Governance
Information Governance
Financial Governance
Corporate Governance
SEA
Quality Improvement
Risk Management ++ See Full Framework
Cost Effective Use of Resources
National & local formulary
Pharmaceutical homecare services
Primary Care: GP Practice
Community Practice
Professional and personal development… leadership, working as a member of a team, working across boundaries… Clinical…. Safety… SEA, Audit, Quality Improvement methodology, Formulary processes, SMC…. E and T – teaching others… developing a teaching session….
Dispensing of Prescriptions
Professional accountability for the checking of Rx
Professional responsibility for
Meeting Pt’s needs
Supply of medicines
Dispensing of Clinical Trial Medicines & Unlicensed Medicines
Education, Training and Development
Teaching
Training
Role Model

13. The Competency framework
Element 1 – Development of personal
awareness and professional practice
Specific evidence required for this element
Some cross referencing but needs explanation / separate
reflection log explaining relevance to 2nd competency
Professional and Personal Practice Aspects of leadership
Equality and diversity
Interaction as a team member Communication
Using the competency framework…..

14. Clinical care of patients
Clinical Pharmacy
Care plans, case studies
mini – CEX
CbD
Care planning webinar
Medical gases
Moving onto Clinical… Requirement for care plans and case studies and in some areas some people will be using mini – CEX and Case Based Discussions as part of their evidence. This involves being assessed on the ward….
The rest of the areas are using care plans and case studies… It’s just that some areas are piloting the new documentation. So… for the care plans…. these need to be clear as to what your contribution was and why… It’s what we can Inputs and outputs….with some key results to show your progress.
So as an ACTION state ‘Amlodipine dose reviewed because..’. and as your OUTPUT describe the actual outcome…’Amlodipine dose reduced to… ‘
Refer to any investigations that are relevant e.g. BP and also if this in line with a Guideline state the GL.
It is good practice to have summary of care/case on front page with reflections in short para….
The reflections should include learning points from sharing the care plan/case with your tutor.
The reflections will demonstrate what you would do differently the next time based on the current experience. This will show progression in your clinical work.
Remember to cross ref where possible and to cover medical gases within a care plan or case… need to mention gases and specifics … not just about cylinders… PO2 etc.

15. Competency framework
Cost effective use of resources
Procedures for out of hours, formulary processes, relationship
between clinical practice and technical practice
Dispensing of prescriptions
The different dispensing processes. Link theory to practice,
templates to be used
Education, training and development
Demonstration as teacher. Power Point presentations, feedback
forms,Reflection pages, 4 scenarios. Seek feedback from
participants.
Resources section of eportfolio has more information….
The Cost effective section has been dramatically reduced over the past few years………Note use of new templates so no Rxs in portfolios.
Moving onto E and T… need training plan… reflections on the actual training experience and not the subject topic e.g. clinical topic…. Good practice to have at least one feedback form from a member of the audience……

16. Ensuring the quality and safety of patients
Need to highlight own local process and involvement in process, SEA , Audit , SOP [draft and action, i.e. link theory and their
practice]
NES website for information about audit and SEA, risk management webinar, patient safety webinar….
Ensure trainee understands what is required when submitting an SEA and also how to do an audit with criteria and standards....
Clinical governance… plenty of personal examples that demonstrate inclusion in various activities….. You need to complete and submit and SEA and an Audit… see NES website for details or the very front page of the e portfolio.

17. Element 7 - Aseptic services
Focus on pharmacist role
Knowledge of preparation process
7.4 Templates – reflections on personal practice
7.4.1 Report
TSET
Aseptic services modules to help you learn about aseptic
services Password

18. Element 8 - Medicines information
Processes for the searching of information, critical appraisal of the literature and
delivery of a reply to a healthcare practitioner.
Range of enquiries.
Templates instead of original enquiries.
Critical appraisal recordings on NES website + MCQs to help you…
Need a mix of Level 1,2 and 3 enquiries
Medical gases… mentioned before… webcast area on NES website… cross ref and include specific detail…..
Medicines information…. Variety of enquiries. Don’t all need to be done in MI centre… ensure you remember references (books) and work systematically. Note new templates to be used.

19. Evidence Using the Evidence Booklet ………..
Review each piece in turn…. look at the structure… don’t worry about the
content e.g. clinical content….
Take about 5 mins per piece and comment after each piece has been
reviewed….. This may take about 1 hour…..
Review each piece and have a discussion. Have you completed any of the post it note questions at this stage? Cross them off and get ready to answer any outstanding at the end of the session before you close….You should have the facilitator notes to help with the evidence….Next is assessment….. This should take about 15 mins.

20. Evidence booklet Using version 6 evidence with v7 framework
Communication p2
Feedback form p4
Clinical 2.1 p21
Clinical Gov / patient safety 3.1 p43, 82
Dispensing 5 p 61
Education and training p69
Information about medicines Element 2 p122 (NOT Element 8)

21. Formative and summative assessment

22. What are the Assessment processes?
Formative
Summative
Practice base scenarios

23. Assessment Appraisal Start
- Consider ePortfolio submission for Assessment
Final Assessment – OSCEology
~May/Nov
Appraisal
Start
Appraisal
NES
ePortfolio Assessment
6 months
9 months
15 months
Describe the processes of assessment…eportfolio assessment… describe the process…Std scoring frameworks…
New assessments at the end… scenarios… more like practice… eportfolio assessment… describe the process…Std scoring frameworks…
Re-submit for Final Assessment

24. VT2 Assessments Appraisal Appraisal Appraisal Formative Action log
Reports
Summative
Submit ePortfolio to NES for Assessment by specified deadline
Reflection log
CPD record
ePortfolio
MiCAL
Case studies
Care plans
Feedback
Audit
SEA
MUE
Appraisal
- Consider ePortfolio submission for Assessment
Appraisal
Start
Appraisal
Final Assessment
~May/Nov
6 months
9 months
15 months

25. Assessment Portfolio assessment
Portfolios assessed, trained assessors, using scoring sheet, remotely
Evidence is sampled according to an assessment framework
Max 5 small pieces for action
Max 2 larger pieces for action
>5 small pieces or >2 larger pieces then a bit more time and defer to next assessment
Written feedback e mailed to trainee
Your tutor will be assessing your evidence on regular basis and will be commenting on it and giving your feedback… the more formal part happens later…. Your portfolios will be assessed informally by your Locality tutor at the end of Jan for May final assessment and at the end of July for Nov final assessment…and then actually assessed by a panel. There is a structure and a framework is used…. If there are > 5 small pieces the portfolio will be referred to the next assessment date. A small piece if where we may wish further discussion and this would be detailed in the portfolio feedback that trainees receive very soon after assessment… It is provided by NES Pharmacy… A large piece of remedial action would be a rehash of a case…..Not good……………

26. Portfolio assessment framework

27. Final assessment Final assessment ~ 3 weeks post portfolio assessment
Scenarios x 4 to validate evidence in your portfolio
Assessment of :
Problem solving skills
Knowledge and understanding of pharmacy practice
Breadth and depth of pharmacy practice
Awareness of personal limitations,
Systematic approach to practice
Response to questioning
Using principles of OSCEs …. One assessor for each scenario, 10mins
per scenario,
After portfolio assessment, trainee has been given feedback and they will be clear what they may need to come prepared to discuss at the final assessment. The final assessment is either in May or November. It starts with a presentation (from portfolio) and the presentation topic may have been suggested in the portfolio feedback-to help…. There are then 4 scenarios and we are looking at systematic practice?? Response to questioning?? Awareness of own limitations…. Nothing too scarey as trainee will have done heaps and be proficient!! This is then a discussion about their portfolio and any aspects that the panel want clarification on……………. Then close. About a week later they will have received their feedback and fingers crossed their certificate.

28. ePortfolio - demonstration
Pharmacy VT2 ePortfolio framework overview
Pharmacy VT2 ePortfolio logs
Pharmacy VT2 ePortfolio ticketed feedback
Pharmacy VT2 ePortfolio appraisal forms
Pharmacy VT2 ePortfolio tutor overview
Pharmacy VT2 ePortfolio tutor framework
Pharmacy VT2 ePortfolio logs and forms

29. What does a Foundation Pharmacist look like ?
competent, practitioner through learning and reflection in the workplace
confident practitioner who can communicate effectively with other members of the healthcare team
patient – centred practitioner who have robust ‘core’ clinical skills and the ability to apply a variety of patient safety tools (SEA, Audit, PDSA)
resourceful practitioner capable of problem solving and making decisions in stressful situations
safe practitioner, aware of limitations, refer as required
a resilient practitioner, developing early leadership behaviours and skills.. who is aware of the importance of the wider healthcare team

30. Conclusions The Pharmacy Vocational Training Scheme - revised -
service redesign in Scotland.
Training scheme aims to develop pharmacists through learning by their
everyday experiences - not by underpinning knowledge alone.
Research informs that whilst the training is challenging, it is
viewed by the majority of trainees as being a way of receiving a broad
structured training and feedback from experienced senior pharmacists
Which in turn, in their view, leads to increased confidence and a sense
of improved quality of the pharmaceutical care that they are able to
provide to patients.
Have we covered all items raised in the post it notes?
Here are some conclusions…. On the next slide are some tips from trainees who completed previously…

31. Advice from previous trainees…
Write it up as you do it.
I felt my evidence could have been better if I had done this…
Set yourself deadlines.
I set a target month to complete each section.
Get on with the work
Don’t ignore it, it wont go away…
Don’t leave loads to write up at one time.. You will forget the detail.
To do lists for each section are important.
So……….